| 摘要: |
| 目的：观察不同波长的超声波治疗脊髓损伤后低顺应性神经源性膀胱感染患者的感染状况。方法：收集2020.1-2022.6厦门大学附属东南医院康复医学科脊髓损伤神经源性膀胱患者40名，分为常规组、20kHz超声波刺激，30kHz超声波刺激，40kHz超声波刺激组，每组10名。常规组进行灌注疗法及抗胆碱能药物酒石酸托特罗定片进行清洁及扩容治疗，不同波长的超声波组患者在常规治疗的基础上进行超声波治疗，连续2个月，每周治疗6天。检测患者治疗前后的最大膀胱容量、残余尿量、尿白细胞数和细菌数，中段尿的细菌培养。结果：各组患者治疗前的最大膀胱容量、残余尿量、尿白细胞数、细菌数、尿中段细菌培养物的差异均不显著。与常规组相比，20kHz超声波刺激、30kHz超声波刺激、40kHz超声波刺激组患者的最大膀胱容量显著升高，残余尿量、尿白细胞数、细菌数、大肠埃希氏菌和肺炎克雷伯杆菌例数均显著降低，其他细菌完全消失，其中30kHz超声波刺激超声波刺激的治疗效果最合适。结论：30kHz超声波刺激超声波治疗可改善脊髓损伤后低顺应性神经源性膀胱尿动力，抑制感染的发生。 |
| 关键词: 超声波 低顺应性神经源性膀胱 尿动力学 感染 |
| DOI： |
| 投稿时间：2022-09-17修订日期：2023-06-08 |
| 基金项目:漳州市自然科学基金，ZZ2020J03 |
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| Study on the effect of ultrasonic therapy on low compliance neurogenic bladder infection after spinal cord injury |
| linxiaoying |
| () |
| Abstract: |
| Objective: To observe the ultrasonic therapy of patients with low compliance neurogenic bladder infection after spinal cord injury treated with ultrasound of different wavelengths. Methods: 40 patients with neurogenic bladder caused by spinal cord injury in the Department of rehabilitation medicine, Southeast Hospital Affiliated to Xiamen University from January 2020 to June 2022 were collected and divided into routine group, 20kHz ultrasonic stimulation, 30kHz ultrasonic stimulation and 40kH zultrasonic stimulation groups, with 10 patients in each group. The routine group was treated with perfusion therapy and the anticholinergic drug tolterodine tartrate tablets for cleaning and volume expansion. The patients in the ultrasound group with different wavelengths were treated with ultrasound on the basis of routine treatment for 2 consecutive months and 6 days per week. Before and after treatment, the maximum bladder volume, residual urine volume, the number of leukocytes and bacteria in urine, and the bacterial culture in the middle urine were detected. Results: there were no significant differences in the maximum bladder volume, residual urine volume, urinary leukocyte count, bacterial count and bacterial culture in the middle of urine before treatment in each group. Compared with the routine group, the maximum bladder volume of patients in 20kHz ultrasonic stimulation, 30kHz ultrasonic stimulation and 40kHz ultrasonic stimulation groups was significantly increased, the residual urine volume, the number of urine leukocytes, the number of bacteria, the number of Escherichia coli and Klebsiella pneumoniae were significantly decreased, and other bacteria were completely disappeared. The therapeutic effect of 30kHz ultrasonic stimulation is the most suitable. Conclusions: 30kHz ultrasonic stimulation treatment could improve the urodynamics of low compliance neurogenic bladder after spinal cord injury and inhibit the occurrence of infection. |
| Key words: ultrasonic Low compliance neurogenic bladder Urodynamics Bladder infection |
